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Organization
ASPEN CENTERS FOR ADVANCED TREATMENT
Active
Organization
ASPEN CENTERS FOR ADVANCED TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN D BIRNKRANT MD (MEDICAL DIRECTOR)
(970) 300-1845
Entity
Organization
Contact information
Practice address
100 E MAIN ST, SUITE 202, ASPEN, CO 81611-1780
(970) 300-1845
(970) 300-1846
Mailing address
100 E MAIN ST, SUITE 202, ASPEN, CO 81611-1780
(970) 300-1845
(970) 300-1846
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4679
CO
2084P0800X
Psychiatry Physician
45539
CO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
45539
CO
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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